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General NPI Number Information
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NPI Number | 1093085649
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Entity Type | Organization
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Legal Business Name | LAKEWOOD COMMUNITY SERVICES CORP.
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 225 4TH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-3228
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Country | US
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Telephone | 732-901-6001
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Fax |
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Provider Business Mailing Address
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Address Line | 450 W KENNEDY BLVD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1269
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MOSHE WEISBERG
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Credential |
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Telephone | 732-901-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 101920204
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License Number State | NJ
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